Individual provider Active NPI

John M. Reitano, MD

  • Cardiovascular Disease Physician
  • E Setauket, NY
National Provider Identifier
1689604779
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
140935 Issued in NY
Practice address
220 Belle Mead Rd
Suite a
E. Setauket, NY 11733-3458
Phone
(631) 941-2273
Fax
(631) 941-2501
NPI assigned
Jul 4, 2006
Last updated
Dec 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 140935 NY Primary
Nuclear Cardiology Physician 207UN0901X 140935 NY

Addresses

Primary practice location

220 Belle Mead Rd
Suite a
E. Setauket, NY 11733-3458

Mailing address

220 Belle Mead Rd
Suite a
E. Setauket, NY 11733-3458
Phone (631) 941-2273

Other identifiers 1

IdentifierTypeStateIssuer
00830795MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Internists, University Faculty Practice Corporation Past Accepting new patients
North Suffolk Cardiology Associates Cardiovascular Disease PastSince Jul 7, 2008 Accepting new patients
Stony Brook Community Medical, P.C. Cardiovascular Disease Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1689604779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BELLE MEAD RD",
            "address_2": "SUITE A",
            "city": "E. SETAUKET",
            "state": "NY",
            "postal_code": "117333458",
            "telephone_number": "631-941-2273",
            "fax_number": "631-941-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BELLE MEAD RD",
            "address_2": "SUITE A",
            "city": "E. SETAUKET",
            "state": "NY",
            "postal_code": "117333458",
            "telephone_number": "631-941-2273",
            "fax_number": "631-941-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITANO",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "140935",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "140935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00830795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.